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</head>

<body>
   
<div id="regform">
    
  <h1>Регистрация</h1>
     
  <div id="reg">

        	    
   	<span>
                	
                  	потребителско име 
                  
               	</span>
                  
    <input type="text" name=""  /> <br /> <br />


    <span>
                    
                    парола     
                
                </span>	
                    
   	<input type="password" name=""  /> <br /> <br />
  
   	<span>
              
        	    	повтори парола
        	    		
                </span>        
                        
    <input type="password" name="" /> <br /> <br />

        		
    <span>
        	    	е-маил
        	    
                </span>
                
	<input type="text" name=""  title="моля въведе вашия е-маил" /><br /> <br/>
				
    <span>
                
        	    	име
        	    		
               	</span>
                        
    <input title=" трябва да има поне четири знака"   type="text" name="" /> <br /> <br />
				
    <span>
                
        	    	фамилия
                
                </span>
                
   	<input type="text" name="" title= " трябва да има поне четери знака" /> <br /> <br />
  
   	<span>  
                
        	    	пол
                
                </span>
                
	<select name="">
                		  <option value="" selected="selected"></option>
   	    		  <option value="мъж">мъж</option>
   	    		  <option value="жена">жена</option>
       		 	</select> 

    </div>
    
    </div>
    <div id="regbyrth">
	
    <div id="age">
            	
                <span>
                
        	    	година 
       	          
                 </span>
                  
                  		<select name="godina" id="godina">
                  <option value="" selected=""></option>
        	      <option value="2000">2000</option>
        	      <option value="1999">1999</option>
        	      <option value="1998">1998</option>
        	      <option value="1997">1997</option>
        	      <option value="1996">1996</option>
        	      <option value="1995">1995</option>
        	      <option value="1994">1994</option>
        	      <option value="1993">1993</option>
        	      <option value="1992">1992</option>
        	      <option value="1991">1991</option>
        	      <option value="1990">1990</option>
        	      <option value="1989">1989</option>
        	      <option value="1988">1988</option>
        	      <option value="1987">1987</option>
        	      <option value="1986">1986</option>
        	      <option value="1985">1985</option>
        	      <option value="1984">1984</option>
        	      <option value="1983">1983</option>
        	      <option value="1982">1982</option>
        	      <option value="1981">1981</option>
        	      <option value="1981">1980</option>
        	      <option value="1979">1979</option>
        	      <option value="1978">1978</option>
        	      <option value="1977">1977</option>
        	      <option value="1976">1976</option>
        	      <option value="1975">1975</option>
        	      <option value="1974">1974</option>
        	      <option value="1973">1973</option>
        	      <option value="1972">1972</option>
        	      <option value="1971">1971</option>
        	      <option value="1970">1970</option>
        	      <option value="1969">1969</option>
        	      <option value="1968">1968</option>
        	      <option value="1967">1967</option>
        	      <option value="1966">1966</option>
        	      <option value="1965">1965</option>
        	      <option value="1964">1964</option>
        	      <option value="1963">1963</option>
        	      <option value="1962">1962</option>
        	      <option value="1961">1961</option>
        	      <option value="1960">1960</option>
        	      <option value="1959">1959</option>
        	      <option value="1958">1958</option>
        	      <option value="1957">1957</option>
        	      <option value="1956">1956</option>
        	      <option value="1954">1955</option>
        	      <option value="1953">1953</option>
        	      <option value="1952">1952</option>
        	      <option value="1951">1951</option>
        	      <option value="1950">1950</option>
      	        </select>
 	
    </div>
    
    <div id="day">

              	<span>
              	
        	    	дата
                
                </span>
                
        	  			   <select name="date" id="date">
                  <option value="" selected="selected"></option>
        	      <option value="1">1</option>
        	      <option value="2">2</option>
        	      <option value="3">3</option>
        	      <option value="4">4</option>
        	      <option value="5">5</option>
        	      <option value="6">6</option>
        	      <option value="7">7</option>
        	      <option value="8">8</option>
        	      <option value="9">9</option>
        	      <option value="10">10</option>
        	      <option value="11">11</option>
        	      <option value="12">12</option>
        	      <option value="13">13</option>
        	      <option value="14">14</option>
        	      <option value="15">15</option>
        	      <option value="16">16</option>
        	      <option value="17">17</option>
        	      <option value="18">18</option>
        	      <option value="19">19</option>
        	      <option value="20">20</option>
        	      <option value="21">21</option>
        	      <option value="22">22</option>
        	      <option value="23">23</option>
        	      <option value="24">24</option>
        	      <option value="25">25</option>
        	      <option value="26">26</option>
        	      <option value="27">27</option>
        	      <option value="28">28</option>
        	      <option value="29">29</option>
        	      <option value="30">30</option>
        	      <option value="31">31</option>
      </select>

    </div>
    
    <div id="mount">
    
                <span>
                					
        	    	месец 
        	    
                </span>
                
            			      <select name="mesec" id="mesec">
                  <option value="" selected="selected"></option>
        	      <option value="Януари">Януари</option>
        	      <option value="Февруари">Февруари</option>
        	      <option value="Март">Март</option>
        	      <option value="Април">Април</option>
        	      <option value="Май">Май</option>
        	      <option value="Юни">Юни</option>
        	      <option value="Юли">Юли</option>
        	      <option value="Август">Август</option>
        	      <option value="Септември">Септември</option>
        	      <option value="Октомври">Октомври</option>
        	      <option value="Ноември">Ноември</option>
        	      <option value="Декември">Декември</option>
      </select>

    </div>

    
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                	регистриция
                    
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